Gender Selection through IVF: Can You Choose Your Baby's Gender?

Introduction

Advancements in reproductive technology have opened up numerous possibilities for couples seeking to have a child. Gender selection became possible with the invention of preimplantation genetic testing for aneuploidy (PGT-A) used before embryo transfer in IVF. The use of the technology in IVF cycles has increased in recent years, as well as the number of cycles with known sex of the embryos.

Alternative methods for gender selection

There are two main exiting methods for gender selection:

• Preimplantation genetic testing (PGT-A) is a method to screen the embryo for any chromosome abnormalities where a few cells are removed from the embryo for testing.
• Sperm separation method - is a method to identify X or Y-chromosome-bearing sperm based on its different characteristics such as size, shape, and motility pattern. Sperm separation can be used both for IUI and IVF. 

While the sperm separation method has been used in animals for more than 20 years, there were questions about its precision, and it hasn't been approved by the FDA, and PGT-A is a more reliable method used by most fertility centers.

Can You Choose Gender with IVF?

The short answer is yes, you can choose your baby's gender through IVF, but it's essential to understand the process and its ethical implications. Gender selection through PGT-A testing is typically used for medical reasons, such as preventing the transmission of gender-specific genetic disorders or diseases. In some cases, couples may choose gender for non-medical reasons, which is totally a personal decision. Clinics may have different policies around the use of PGT-A, so it is important to discuss your goals with your doctor before signing PGT-A consent forms. 

IVF Cost for Gender Selection

The cost of IVF with gender selection can vary significantly from clinic to clinic. It is rarely included in the IVF cycle price and is usually at an additional cost. 

The price of genetic testing of embryos includes the following elements:

• Embryo biopsy: This is billed by your fertility clinic for taking tissues from the embryo and preparing it for testing
• Genetic laboratory fees: This is the cost of an external laboratory that performs the genetic testing of the embryos.  

The price depends on the number of embryos tested and, in total, can come up to $4,000-5,000. It's crucial to consult with fertility clinics in your area and request detailed cost breakdowns.

Ethical Considerations

Gender selection for non-medical reasons raises ethical questions about gender equity and the potential for gender bias. Many countries and regions have regulations and guidelines governing the use of IVF for gender selection to prevent misuse and ensure that the procedure is not abused for societal preferences. 

In the United States, regulation of PGT would fall to individual states; however, no state currently has laws regulating the use of PGT. Individual clinics may use their own guidelines, and it's essential to discuss your clinic's policy in advance.

Conclusion

Gender selection through IVF is a complex and controversial topic with various ethical, medical, and financial considerations. While it is possible to choose your baby's gender through IVF, it's essential to do thorough research, consult with fertility specialists, and consider the ethical implications before making a decision. Ultimately, the decision should align with your values, priorities, and the regulations of your region. If you are ready to start with your IVF process, you can find an IVF clinic near you with costs and success rates.

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